Browsing by Author "Adesina, Kikelomo"

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    Abdominal myomectomy: A retrospective review of determinants and outcomes of complications at the University of Ilorin Teaching Hospital, Ilorin, Nigeria.
    (Malawi Medical Journal, 2017-03) Adesina, Kikelomo; Owolabi, Beatrice; Raji, Hadijat; Olarinoye, Adebunmi
    Background The aim of this study was to describe the pattern, outcomes, and determinants of perioperative complications of abdominal myomectomy at theUniversity of Ilorin Teaching Hospital, Ilorin, Nigeria. Methods This was a retrospective review of cases of abdominal myomectomy between January 2010 and December 2013. Data were obtained from ward and operating theatre case records and analysed using SPSS version 20. The continuous variables were analysed with Student’s t-test. The categorical variables were analysed with the chi-square test. P-values of 0.05 or less was taken to be significant. Results Total sampling yielded 204 cases, of which 170 records (80%) were adequate for analysis. Using criteria developed by Garry et al., major and minor complications occurred in 43.6% and 32.9% of procedures, respectively, while 23.5% of the patients had no complications. The commonest complication was intraoperative haemorrhage requiring blood transfusion. Mean estimated blood loss was 630.88 ± 392.42 mL. There were no cases converted to hysterectomy, and no deaths were recorded. Uterine size equivalent to 16 weeks’ gestation or more was significantly associated with heavier blood loss, blood transfusion, and fever (P = 0.034). Other significant determinants of major intraoperative haemorrhage with or without blood transfusion were menstrual flow of 6 days or more, preoperative anaemia, previous surgery, posterior incision, and surgery duration longer than 4 hours (P < 0.05). Conclusions Outcome of abdominal myomectomy is generally favourable even if uterine size is greater than 16 weeks by palpation. Nevertheless, patients should be counselled preoperatively on the risk of blood loss and the possibility of blood transfusion.
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    Abruptio placentae: Epidemiology and pregnancy outcome in a low-resource setting.
    (College of Health Sciences, University of Port Harcourt, 2018-09) Adeniran, Abiodun; Elegbua, Callistus; Ezeoke, Grace; Adesina, Kikelomo; Balogun, Olayinka
    Background: Abruptio placentae are a life-threatening obstetric emergency associated with high maternal, foetal and neonatal morbidity and mortality. Aim: The aim of this study is to determine the modes of presentation, management and pregnancy outcome of pregnancies complicated by abruptio placentae at a tertiary health facility. Methods: A descriptive study (retrospective) of women managed for abruptio placentae over a period of 3 years. The inclusion criteria were diagnosis of abruptio placentae (clinical or radiological), delivery at the study site and availability of the case files for review. Exclusion criteria included patients with other conditions except abruptio placentae, delivery at other facilities or failure to retrieve the case files. Data collection was from the case files of participants, and the results were represented in tables. Results: Out of 8,931 deliveries during study , 64 had for abruptio placentae (prevalence 0.72% or 7.2/1000); however, 60 satisfied the inclusion criteria and were included in subsequent analysis. Twenty (33.3%) were above 35 years old, 14 (23.3%) were grandmultipara and the most common risk factor was hypertensive disorders (26; 43.3%). Thirty (50.0%) presented with vaginal bleeding, retroplacental clot was present at delivery in 27 (45.0%), 37 (61.7%) had emergency abdominal delivery, 51 (85.0%) had anaemia at presentation while 37 (61.6%) had blood transfusion. Forty-four (73.4%) were preterm (mean gestational age 35 ± 2.9 weeks) and neonatal survival was 50.0%; among survivors, 25 (83.3%) required neonatal intensive care due to perinatal asphyxia. Perinatal mortality was 50% (500/1,000), but no maternal death among study participants. Conclusion: Abruptio placentae remain a potential cause of maternal, foetal and neonatal complications; however, emergency caesarean delivery appears to improve neonatal survival in complicated cases with live foetuses.
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    Attitude and practice of birth attendants regarding the presence of male partner at delivery in Nigeria
    (Jimma University, Ethiopia, 2017-03-10) Adeniran, Abiodun; Adesina, Kikelomo; Aboyeji, Peter; Balogun, Olayinka; Adeniran, Peace; Fawole, Adegboyega
    BACKGROUND: Despite increasing request for the male partners’ presence at delivery in developing countries, the view and practice of birth attendants remained poorly understood.This study aimed to evaluate the perception, attitude and practice of birth attendants concerning the requests in Nigeria. METHODS: A prospective, cross-sectional survey involving consenting birth attendants was conducted in six public and six private health facilities in North Central Nigeria. Statistical analysis was done with SPSS-version 20.0; p-value <0.05 was considered statistically significant. RESULTS: Among 564 participants (24.8% male, 75.2% female), 465(82.4%) support the presence of male partners at delivery, 409(72.5%) desire to be with their partner at delivery, 434(77.0%) had previous request for male partner’s presence at delivery while 225(51.8%) declined it due to perception that men will disturb. Among the male partners allowed at delivery, 92(44.0%) did not disturb the birth attendant while 5(2.4%) ended in litigation. Among birth attendants who allowed men at delivery in the past, 160(76.6%) will allow men in the future. There was no statistical significance regarding the age, gender, cadre or year of service of birth attendants and attitude to a protocol change to allow men at delivery. Birth attendants who support the presence of men at delivery showed positive attitude (OR33.178, 95%CI6.996-157.358; p<0.001) while those who opined that men would disturb at delivery had a negative attitude (OR0.306, 95%CI0.124-0.755); p0.010) to possible protocol change. CONCLUSION: Despite perceived negative effects of allowing male partners at delivery, many birth attendants are willing to allow them if necessary structural modifications are instituted.
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    Attitudes to female genital mutilation/ cutting among male adolescents in Ilorin,Nigeria
    (South Africa Medical Association, 2016-08) Adeniran, Abiodun; Ijaiya, Munirdeen; Fawole, Adegboyega; Balogun, Olayinka; Adesina, Kikelomo; Olatinwo, Abdulwaheed; Olarinoye, Adebunmi; Adeniran, Peace
    Background. The central role of males in female reproductive health issues in patriarchal societies makes them an important group in the eradication of female genital mutilation/cutting (FGM/C). Objectives. To determine knowledge about and attitudes to FGM/C among male adolescents, and their preparedness to protect their future daughters from it. Methods. A cross-sectional survey among male adolescent students in Ilorin, Nigeria. Participants completed a self-administered questionnaire after consent had been obtained from them or their parents. Statistical analysis was with SPSS version 20.0 (IBM, USA). A p-value of <0.05 was taken as significant. Results. Of 1 536 male adolescents (mean age 15.09 (standard deviation 1.84) years, range 14 - 19), 1 184 (77.1%) were aware of FGM/C, 514 (33.5%) supported female circumcision, 362 (23.6%) would circumcise their future daughters, 420 (27.3%) were of the opinion that FGM/C had benefits, mostly as a necessity for womanhood (109, 7.1%), and 627 (40.8%) perceived it as wickedness against females; 546(35.5%) were aware of efforts to eradicate FGM/C, and 42.2% recommended education as the most important intervention to achieve this. Conclusion. Education and involvement in advocacy may transform male adolescents into agents for eradication of FGM/C.
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    Attitudes to female genital mutilation/cutting among male adolescents in Ilorin, Nigeria
    (South Africa Medical Journal, 2016-08) Adeniran, Abiodun; Ijaiya, Munir'deen; Fawole, Adegboyega; Balogun, Olayinka; Adesina, Kikelomo; Olatinwo; Olarinoye, Adebunmi; Adeniran, Peace
    Background. The central role of males in female reproductive health issues in patriarchal societies makes them an important group in the eradication of female genital mutilation/cutting (FGM/C). Objectives. To determine knowledge about and attitudes to FGM/C among male adolescents, and their preparedness to protect their future daughters from it. Methods. A cross-sectional survey among male adolescent students in Ilorin, Nigeria. Participants completed a self-administered questionnaire after consent had been obtained from them or their parents. Statistical analysis was with SPSS version 20.0 (IBM, USA). A p-value of <0.05 was taken as significant. Results. Of 1 536 male adolescents (mean age 15.09 (standard deviation 1.84) years, range 14 - 19), 1 184 (77.1%) were aware of FGM/C, 514 (33.5%) supported female circumcision, 362 (23.6%) would circumcise their future daughters, 420 (27.3%) were of the opinion that FGM/C had benefits, mostly as a necessity for womanhood (109, 7.1%), and 627 (40.8%) perceived it as wickedness against females; 546 (35.5%) were aware of efforts to eradicate FGM/C, and 42.2% recommended education as the most important intervention to achieve this. Conclusion. Education and involvement in advocacy may transform male adolescents into agents for eradication of FGM/C.
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    Autologous blood donations and transfusions among patients undergoing elective orthopaedic, gynaecologic and elective caesarean section at a tertiary hospital in north central Nigeria.
    (A publication of Kenyan Medical Association, 2018-02) Shittu, Olasunkanmi; Olawumi, Oluwayemisi; Adesina, Kikelomo; Babalola, Misbaudeen; Ibraheem, Hakeem; Babatunde, Samuel; Olatinwo, Olajide
    Introduction: Allogeneic donor blood is becoming increasingly costly, scarce and associated with multiple risks; there is need for more conservative transfusion strategies, one of which may be adoption of Autologous Blood Donation and Transfusions (ABDT). Despite increased acceptance of ABDT by clinicians and patients in most developed world, awareness in this part of the world is still low. Materials and methods: this is a cross sectional survey of knowledge and acceptance of ABDT by patients scheduled for elective orthopaedic, gynaecologic and elective caesarean section surgeries using structured interviewer administered questionnaire on socio-demographics, clinical presentations, knowledge of blood donations and transfusions, and acceptance of ABDT. The study population comprised of 171 subjects. Results: Gynaecologic/obstetric patients were 120 (70.2%) while 51 (29.8%) of the subjects were Orthopaedic patients. Majority (43.95%) were within the age range 31-45 years, 38.6% were less than 31 years while 17.5% were older than 45 years. Females constituted the larger proportion (77.2%). Twenty one (12.3%) subjects had donated blood in the past, 45 (26.3%) had previous blood transfusions and 30 (17.5%) had knowledge of ABDT. Eight one (47.4%) of all subjects accepted ABDT for the scheduled surgeries while 123 (71.9%) subjects accepted to be voluntary blood donors after surgery. Pre-deposit is the commonest form of ABDT preferred by the subjects (66%), followed by Haemodilution (28%) and Cell salvage (6%). A significant number of the subjects who accepted ABDT were ready to become voluntary blood donors after surgery (90.1%). Conclusion: Acceptance rate as high as 47.4% was recorded in this study despite low awareness. This is higher than what was reported by most authors’ locally but similar to the findings from Europe and Asia. Pre-deposit form was the commonest ABDT acceptable to these patients. Improving awareness on ABDT will boost voluntary blood donations and improve blood transfusion safety.
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    Current features of urethral mucosa prolapse among children in Ilorin, Kwara State, Nigeria
    (The Nigerian Journal of General Practice, 2014-03) Adeniran, Abiodun; Okpara, Enoch; Fawole, Adegboyega; Ijaiya, Munirdeen; Abdul, Ishaq; Adesina, Kikelomo; Ezeoke, Grace
    Setting: Urethral mucosa prolapse is a benign gynaecological condition which is commoner among young black children. Objective: To evaluate the presentation, management, outcome and current status of urethral mucosa prolapse at atertiary centre. Design/ methods: A retrospective descriptive study of49 patients managed at the Obstetrics and Gynaecology department of the University of Ilorin Teaching Hospital, Ilorin. The case files of all patients who were managed from 1st January 2001 to 31st December 2010were retrieved from the medical records department and relevant information extracted. the results were expressed in tables and compared with an earlier study from the centre. Results: A total of 49 patients were managed, the prevalence of urethral mucosa prilapse 1.3% of all gynaecological admissions; all were Nigerians aged 3 to 12 years. The commonest presenting complaint was blood stain on underwear in 37[75.5%], 28[57.1%] presented with multiple symptoms and 32[65.3%] had failed medical treatment prior to presentation. Surgical management was 100% successful, minor post operative complications occurred in eightpatients [16.6%] and the commonest was urinary retention in 5[10.2%] patients. The results were generally similar to a previous study conducted a decade earlier in this centre. Conclusion: Urethral mucosa prolapse is not a common conditioninthis environment; medical and conservative management with higherfailure should be discouraged while surgical management which was curative with no longterm complication is highly recommened as the treatment choice.
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    Determinants of contraceptive usage among female apprentices in Ilorin, Nigeria
    (Sudan Medical Association, 2018-08) Olarinoye, Adebunmi; Adesina, Kikelomo; Olarinoye, John; Adeniran, Abiodun; Aderibigbe, Sunday; Ezeoke, Grace
    Abstract Background: Maternal mortality is high in most developing countries and a significant number are from complications arising from induced unsafe abortion. The single, young and sexually active women are often more vulnerable, majority of the female apprentices fall within this group. Use of contraceptive among female apprentices in Ilorin, Nigeria was studied in this article. Methods: Five hundred and sixteen respondents participated in this survey through interview administered questionnaires. Results: The mean age of respondents was 22.34 ± 6.8years; of menarche was 13.28 ± 2.12 years and of first sexual exposure was 18.45 ± 3.9 years. The most common vocation was apprentice medicine/chemist vendor 124 (24%), followed by tailoring 114 (22%), 304 (59%) were single, 112 (21.7%) were married while 148 (28.7%) had primary education. Among the respondents, 79.5% and 64% were aware of condoms and combined oral contraceptive pills respectively. Only 48.3% had used at least one contraceptive method in the past. Most commonly used contraceptive was the male condom (42.9%). The least used was the combined pill (11.8%). Use of emergency pills was related to educational level (p = 0.027), used only by apprentices with formal education. Contraception as a contradiction to religious beliefs was the commonest reason for non-use followed by fear of future infertility as a complication of contraception. Conclusion: Religious beliefs and fear of complications were the major hindrances to contraceptive uptake despite the high level of awareness. Although the widespread use of male condom, which protects against sexually transmitted diseases, in this high risk group is acceptable and encouraging, attempts should still be focused on improving contraception uptake among apprentices.
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    Development and validation of a questionnaire to assess the doctors and nurses knowledge of acute oxygen therapy
    (PLoS ONE, 2019-02-04) Desalu, Olufemi; Aladesanmi, Adeniyi; Ojuawo, Olutobi; Opeyemi, Christopher; Ibraheem, Rasheedah; Suleiman, Zakari; Oyedepo, Olanrewaju; Adesina, Kikelomo; Oloyede, Taofeek; Sanya, Emmanuel
    Background: Prescription and administration of oxygen in emergencies by healthcare providers are reported to be inappropriate in most settings. There is a huge gap in the knowledge of health care providers on various aspects of oxygen therapy, and this may be a barrier to optimal oxygen administration. Hence, it is essential to ascertain providers’ knowledge of acute oxygen therapy so that appropriate educational interventions are instituted for better delivery. There is no available validated instrument to assess knowledge of acute oxygen therapy. The study aimed to develop, validate and evaluate the test-retest reliability of a questionnaire to determine the doctors and nurses understanding of acute oxygen therapy. Methods: This study involved the development of the questionnaire contents by a literature review, assessment of face validity (n = 5), content validity, using a panel of experts (n = 10), item analysis and test-retest reliability among a sample (n = 121) of doctors and nurses. Results: Face validity indicated that the questionnaire was quick to complete (10–15 min), most items were easy to follow and comprehensible. The global content validity index (S-CVI) was 0.85. The test-retest reliability statistics showed a kappa coefficient of 0.546–0.897 (all P<0.001) and percentage agreement of 80–98.3% indicating high temporal stability in the target population. In total, 90% of the items fulfilled the reliability acceptance criteria. Item discrimination analysis showed that most questions were at an acceptable level. The final questionnaire included 37 item questions and eight sections. Conclusion: The designed questionnaire is a reliable and valid tool for assessing knowledge of acute oxygen therapy among doctors and nurses.
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    Domestic violence and obstetric outcome among pregnant women in Ilorin, North Central Nigeria
    (International Federation of Obstetrics and Gynaecology, 2014) Eno, Enang; Fawole, Adegboyega; Aboyeji, Peter; Adesina, Kikelomo; Adeniran, Abiodun
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    Domestic Violence and Obstetric Outcome among Pregnant Women in Ilorin, North Central, Nigeria.
    (International Federation of Obstetrics and Gynaecology (FIGO), 2014) Eno, Enang; Fawole, Adegboyega; Aboyeji, Abiodun; Adesina, Kikelomo; Adeniran, Abiodun
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    Double-blind randomized controlled trial comparing misoprostol and oxytocin for management of the third stage of labor in a Nigerian hospital.
    (The Journal of the International Federation of Obstetrics and Gynaecology (FIGO), 2015) Musa, Abdulkarim; Ijaiya, Munir'deen; Saidu, Rakiya; Aboyeji, Abiodun; Jimoh, Abiodun; Adesina, Kikelomo; Abdul, Ishaq
    Objective: To compare the efficacy of oral misoprostol with that of oxytocin for active management of the third stage of labor (AMTSL). Methods: A double-blind randomized control trial was undertaken at a center in Ilorin, Nigeria, between January and June 2013. Every other eligible patient (in the first stage of labor at term, to have a spontaneous vaginal delivery, and no/low risk of postpartum hemorrhage [PPH]) were randomly assigned with computer-generated random numbers to receive oral misoprostol (600 μg) plus placebo injection or oral placebo plus oxytocin injection (1 mL of 10 IU) in the third stage of labor. The primary outcome was amount of blood loss during delivery. Results: Mean postpartum blood loss was 325.85 ± 164.72 mL in the 100 patients givenmisoprostol and 303.95±163.33 mL in the 100 patients given oxytocin (P=0.391). PPH(≥500mL blood loss) was recorded in 15 (15.0%) patients given misoprostol and 14 (14.0%) given oxytocin (P = 0.841). Shivering, pyrexia, and diarrhea were all significantly more common in the misoprostol group (P b 0.01 for all). Conclusion: The efficacy of oral misoprostol was similar to that of intramuscular oxytocin. Adverse effects associatedwith misoprostol were transient and self-limiting. Thus, oral misoprostol is efficacious and a good alternative to oxytocin for AMTSL
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    Drugs in Pregnancy
    (Imo State University Owerri. Supreme publishers, 2014) Adesina, Kikelomo
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    Duration of labour with spontaneous onset at University of Ilorin Teaching Hospital (UITH), Ilorin Nigeria
    (Medknow, 2011-06) Ijaiya, Munirdeen; Adesina, Kikelomo; Raji, Hadijat; Aboyeji, Peter; Olatinwo, Abdulwaheed; Adeniran, Abiodun; Adebara, Idowu; Isiaka-Lawal, Salamat
    Background/Objective: Duration of labor varies from one pregnancy to another and a period of less than 12 hours is regarded as normal. Modern obstetric practice involves active management of labor with the aim of preventing prolonged labor and its sequelae. The main objective of this study was to determine and compare the average duration of labor of spontaneous onset between nulliparas (Po) and multiparas (P  1) and to determine factors affecting duration of labor. Materials and Methods: This study was a prospective study carried out between 15 May and 14 June 2004 at the Labor Ward of the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Two hundred and thirty-eight women who satisfi ed the inclusion criteria were studied. The inclusion criteria were term pregnancy with vertex presentation, labor with spontaneous onset, live fetus at presentation and spontaneous vertex delivery. Results: The mean ± SD admission–delivery interval in labor ward was shorter (3.77 ± 2.88 hours) among multiparas than that of nulliparas (5.00 ± 3.17 hours) (P = 0.235). The mean ± SD duration of labor (from the onset of labor to delivery) was shorter among multiparas (8.73 ± 4.17 hours) than that of nulliparas (11.23 ± 4.29 hours) (P = 0.426). The differences were not signifi cant (t-test, P > 0.05). Maternal age and individual parity had signifi cant correlation with the duration of labor in this study (Pearson correlation = −0.019, −0.027, respectively, P < 0.05). Conclusion: Interestingly, duration of labor was not signifi cantly different among multiparas and nulliparas although it was shorter. Correlation existed between duration of labor and maternal age and individual parity.
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    Ectopic pregnancy at University of Ilorin Teaching Hospital, Ilorin: A Three Year Review
    (SOGON, 2016) Adesina, Kikelomo; Bakare, Tola; Ajiboye, Akinyosoye
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    Effect of male partner's support on spousal modern contraceptive in a low resourse setting
    (Jimma University, Ethiopia, 2016-09) Balogun, Olayinka; Adeniran, Abiodun; Fawole, Adegboyega; Adesina, Kikelomo; Aboyeji, Peter; Adeniran, Peace
    Background: As efforts continue to increase contraceptive uptake, male partner support remains important in spousal modern contraceptive use. METHODS: A prospective cross-sectional survey involving women on modern contraception was conducted at the family planning clinic of the University of Ilorin Teaching Hospital, Nigeria, between December 2013 and April 2014. All consenting participants completed a self-administered questionnaire designed for the study, and statistical analysis was done with SPSS version 20.0 using with chi square test and logistic regression; p value <0.05 was significant. RESULTS: There were 305 participants: 208(68.2%) were multipara, the commonest current and previous contraceptives used were IUD and injectables while male partner was responsible for discontinuation in 30(23.3%) of previous users. Covert contraceptive use was 22(7.2%), male partner support was 209(68.5%) as payment for the contraceptives (203; 66.6%) or transportation to the clinic (198; 64.9%). Also, 55(18.0%) women failed to comply with contraception recently due to male partner hindrance (25;45.5%) or inability to pay for contraceptive (11;20%) or transportation to the clinic (8;14.5%). Male partners hindered contraception by reporting the woman to relatives/friends (8;32%) or denying her money for feeding allowance (6;24%); 277(90.8%) women want contraception to be couple decision while 261(85.6%) want contraception administered only if both partners consented. The significant predictors of male partner support were awareness about the contraceptive use (p<0.001,OR0.114; CI0.041-0.319), level of education (p0.007,OR1.488; CI1.114-1.9870) and social class (p0.029,OR0.690;CI0.495-0.963). CONCLUSION: Male partner hindrances and costs of contraceptive or transportation to clinic are important in noncompliance. Male partner education, subsidized/free contraceptives and mobile/community services will improve compliance.
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    Effect of male partner’s support on spousal modern contraception in a low resource setting.
    (Publication of College of Health Sciences, Jimma University Ethiopia., 2016) Balogun, Olayinka; Adeniran, Abiodun; Fawole, Adegboyega; Adesina, Kikelomo; Aboyeji, Abiodun; Adeniran, Peace
    Background: As efforts continue to increase contraceptive uptake, male partner support remains important in spousal modern contraceptive use. METHODS: A prospective cross-sectional survey involving women on modern contraception was conducted at the family planning clinic of the University of Ilorin Teaching Hospital, Nigeria, between December 2013 and April 2014. All consenting participants completed a self-administered questionnaire designed for the study, and statistical analysis was done with SPSS version 20.0 using with chi square test and logistic regression; p value <0.05 was significant. RESULTS: There were 305 participants: 208(68.2%) were multipara, the commonest current and previous contraceptives used were IUD and injectables while male partner was responsible for discontinuation in 30(23.3%) of previous users. Covert contraceptive use was 22(7.2%), male partner support was 209(68.5%) as payment for the contraceptives (203; 66.6%) or transportation to the clinic (198; 64.9%). Also, 55(18.0%) women failed to comply with contraception recently due to male partner hindrance (25;45.5%) or inability to pay for contraceptive (11;20%) or transportation to the clinic (8;14.5%). Male partners hindered contraception by reporting the woman to relatives/friends (8;32%) or denying her money for feeding allowance (6;24%); 277(90.8%) women want contraception to be couple decision while 261(85.6%) want contraception administered only if both partners consented. The significant predictors of male partner support were awareness about the contraceptive use (p<0.001,OR0.114; CI0.041-0.319), level of education (p0.007,OR1.488;CI1.114-1.9870) and social class (p0.029,OR0.690;CI0.495-0.963). CONCLUSION: Male partner hindrances and costs of contraceptive or transportation to clinic are important in noncompliance. Male partner education, subsidized/free contraceptives and mobile/community services will improve compliance.
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    Endometriosis: Evaluation and management in a low-resource country
    (Kenya Medical Association, 2019) Adeniran, Abiodun; Adeoye, Oladapo; Adesina, Kikelomo; Ezeoke, Grace; Ige, O.A.; Imhoagene, Aleakhuei; Akanbi, O.R.; Ibrahim, Kazeem
    background: Endometriosis is a chronic debilitating gynaecologic condition that negatively affects the health, economic, social and psychological lives of women. Though a gynaecological condition, it can affect other systems in the body. objective: To describe the presentation, evaluation and treatment of endometriosis among gynaecological patients at a tertiary centre in Ilorin, Nigeria. Methods: A retrospective descriptive study of all women managed for endometriosis over a three and half year period at a tertiary centre. A list of all individuals with the condition was compiled, the case files were retrieved and the relevant data extracted. The result was presented in tables. results: Endometriosis constituted 1.3% of gynaecological admissions and 0.6% of gynaecology clinic visit during the study period. It affected reproductive-age women with mean age 32.8 years and modal age 31-35 years (35.3%). The women were mostly nulliparas (13;76.5%) with normal menstrual cycle (13;76.6%) and duration of menstruation (16;94.1%). Eleven (64.7%) had multiple gynaecological complaints and additional extra-pelvic lesions respectively. Sixteen (94.1%) had coexisting co-morbidity, of these 9 (56.3%) was in the thoracic region. The common medical treatment offered was gonadotrophin-releasing-hormone analogues (8; 47.1%), 6(35.3%) had medical while 11(64.7%) has combined medical and surgical management; diagnosis was by histology in 11(64.7%). conclusion: Endometriosis remains a disease of reproductive-age women commonly associated with coexisting non-gynaecologic manifestations necessitating combined medical and surgical management.
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    Evaluation of parturient perception and aversion pre and post primary caesarean delivery in a low resourse setting
    (International Federation ofObstetrics & Gynaecology (FIGO), 2016) Adeniran, Abiodun; Aboyeji, Peter; Fawole, Adegboyega; Balogun, Olayinka; Adesina, Kikelomo; Isiaka-Lawal, Salamat
    Objective: To determine the perception of and aversion to cesarean delivery (CD) and their determinants before and after primary CD. Methods: A prospective cross-sectional survey of pregnantwomen undergoing primary CD (elective or emergency) was conducted in six health facilities in Ilorin, Nigeria. All participants completed an interviewer-administered questionnaire before the operation and 3–4 days thereafter. The statistical analysis included the calculation of odds ratios (ORs) with 95% confidence intervals (CIs) and a logistic regression. Results: Of the 254 participants, 182 (71.7%) and 53 (20.9%) had an aversion to CD before and after the procedure, respectively. A woman’s personal decision was the overriding factor influencing acceptance of the operation. Preoperative predictors of aversion were prenatal admission (OR 2.86 [95% CI,1.07–7.66]; P=0.030) and a history of previous surgery (OR 0.42 [95% CI, 0.24–0.75]; P = 0.003), whereas postoperatively a low number of prenatal clinic visits (less than four; OR 3.05 [95% CI,1.63–5.69]; P = 0.001) and a history of previous surgery (OR 0.51[95% CI, 0.27–0.96]; P = 0.034) were significant. Postprocedure, 164 (64.6%) women said they would accept a repeat CD. Conclusion: Patient education, prenatal care, and previous surgical experiences were important in determining women’s perception of and aversion to CD.
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    Exploringthe practice and attutide of circumcisers in the eradication of female genital mutilation/ cutting
    (Kenya Medical Association, 2016) Adeniran, Abiodun; Ijaiya, Munirdeen; Adesina, Kikelomo; Balogun, Olayinka; Uthman, Mohammed; Salaudeen, Ganiyu; Adeniran, Peace; Fawole, Adegboyega
    Background: Female Genital Mutilation/Cutting (FGM/C) remains a form of violence against women despite efforts aimed at its eradication. Objectives: To explore the practice and attitude of circumcisers towards eradication of FGM/C. Methods: A descriptive (pilot) study involving local circumcisers in Kwara State, Nigeria using interviewer-administered questionnaire; analysis was done using SPSS version 21.0 and p <0.05 was significant. Results: There are 57 circumcisers including 36(63.2%) males, 49(86%) acquire the skill for circumcision as a family tradition, 3(5.3%) practice circumcision as sole occupation and 49(79%) derive higher average monthly income from other sources. Forty-two (73.7%) have a dedicated knife used for multiple clients, 44(77.2%) clean the instrument before use, 17(29.8%) wear protective gloves, 55(96.5%) apply substances to the wound mostly iodine 15(26.3%) and shea butter 11(19.3%) while 27(47.4%) have encountered complications previously. Among circumcisers, 44(77.2%) believe FGM/C prevent sexual promiscuity while 26(45.6%) think it is for culture/tradition. Thirty (52.6%) are aware of government activities to stop FGM/C, 53(93.0%) are willing to stop the act if support is provided in form of money to establish a trade 33(57.9%) or new employment 12(21.1%). Conclusions: Circumcisers are willing to discontinue FGM/C if necessary support including vocational skill acquisition, credit facilities to start a trade or new employments are provided. Efforts should be expedited to support their rehabilitation to achieve the eradication.